Katelyn Ann Deberry, - Medicare Physician Assistant in Cumming, GA

Katelyn Ann Deberry, is a medicare enrolled "Physician Assistant" in Cumming, Georgia. She went to Mercer University School Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Privia Medical Group Of Georgia Llc and her current practice location is 1800 Northside Forsyth Dr Ste 450, Cumming, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 442-1911.

Katelyn Ann Deberry is licensed to practice in Georgia (license number 9855) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770136574.

Contact Information

Katelyn Ann Deberry,
1800 Northside Forsyth Dr Ste 450,
Cumming, GA 30041-8483
(770) 442-1911
Not Available

Map and Direction




Provider's Profile

Full NameKatelyn Ann Deberry
GenderFemale
SpecialityPhysician Assistant
Experience4 Years
Location1800 Northside Forsyth Dr Ste 450, Cumming, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katelyn Ann Deberry attended and graduated from Mercer University School Of Medicine in 2020
  NPI Data:
  • NPI Number: 1770136574
  • Provider Enumeration Date: 07/20/2019
  • Last Update Date: 08/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3476962341
  • Enrollment ID: I20210505000806

Medical Identifiers

Medical identifiers for Katelyn Ann Deberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770136574NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 9855 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Privia Medical Group Of Georgia Llc4284951542332

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katelyn Ann Deberry is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katelyn Ann Deberry,
3721 Cape York Trce,
Alpharetta, GA 30022-6433

Ph: (678) 215-5528
Katelyn Ann Deberry,
1800 Northside Forsyth Dr Ste 450,
Cumming, GA 30041-8483

Ph: (770) 442-1911

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.